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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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FAST, GARY ALAN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1901 E. FIRST ST
P.O. BOX 467
NEWTON KS 67114-0467

Address last updated on 3/30/2021
Phone #: (316) 284-6402
Fax #: (316) 284-6491
County: NOT OKLAHOMA
License: 20628
Dated: 5/1/1998
Expires: 5/1/2022
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1988
CME Year: 2022
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
Humana Medicare Advantage PPO
Multiplan PPO
Railroad Medicare
Tricare Standard
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
1901 E. FIRST ST
P.O. BOX 467
NEWTON KS 67114-0467

Phone #: (316) 284-6402
Fax #: (316) 284-6491
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed:
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
9333 E. 21st N
Wichita, KS 67206

Phone #: (316) 634-4700
Fax #: (7) 200-
Mon:
Tue:
Wed: 8:00AM - 6:00PM
Thu:
Fri:
Sat:
Sun:

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